Doctor Name: | DR. SAMUEL LEVINSON |
NPI Number: | 1144393174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0810000770 |
Business Practice Address: | 12207 Devilwood Dr Potomac, MD - 208543420 |
Business Phone Number: | 3013401375 |
Business Fax Number: | 3013402366 |
Mailing Address: | 12207 Devilwood Dr, POTOMAC |
State: | MD |
Postal Code: | 208543420 |
Phone Number: | 3013401375 |
Fax Number: | 3013402366 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810000770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |